| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
25,047 |
24,667 |
$1.05M |
| E0466 |
Home vent non-invasive inter |
4,110 |
4,095 |
$800K |
| E0431 |
Portable gaseous 02 |
17,654 |
17,377 |
$152K |
| A7030 |
Cpap full face mask |
1,888 |
1,869 |
$117K |
| E0570 |
Nebulizer with compression |
10,639 |
10,578 |
$86K |
| A7031 |
Replacement facemask interfa |
2,774 |
2,737 |
$76K |
| E0601 |
Cont airway pressure device |
1,815 |
1,775 |
$45K |
| A7034 |
Nasal application device |
698 |
692 |
$24K |
| A7035 |
Pos airway press headgear |
1,638 |
1,620 |
$20K |
| A7037 |
Pos airway pressure tubing |
2,005 |
1,974 |
$19K |
| E1392 |
Portable oxygen concentrator |
1,682 |
1,667 |
$18K |
| A4604 |
Tubing with heating element |
617 |
610 |
$17K |
| A7038 |
Pos airway pressure filter |
4,517 |
4,428 |
$15K |
| A7032 |
Replacement nasal cushion |
436 |
426 |
$14K |
| A7046 |
Repl water chamber, pap dev |
1,247 |
1,229 |
$9K |
| E0562 |
Humidifier heated used w pap |
585 |
570 |
$8K |
| A7003 |
Nebulizer administration set |
3,535 |
3,426 |
$4K |
| K0738 |
Portable gas oxygen system |
285 |
279 |
$4K |
| K0001 |
Standard wheelchair |
166 |
163 |
$2K |
| E0443 |
Portable 02 contents, gas |
165 |
163 |
$2K |
| A7033 |
Replacement nasal pillows |
115 |
113 |
$2K |
| A7005 |
Nondisposable nebulizer set |
332 |
327 |
$2K |
| B4035 |
Enteral feed supp pump per d |
13 |
12 |
$426.87 |
| K0195 |
Elevating whlchair leg rests |
86 |
83 |
$406.32 |
| E0600 |
Suction pump portab hom modl |
24 |
24 |
$174.39 |
| A7013 |
Disposable compressor filter |
139 |
138 |
$57.09 |
| A7015 |
Aerosol mask used w nebulize |
12 |
12 |
$16.45 |